AMANDA BROCK

FORT WAYNE, IN
NPI1407423080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364SL0600X Clinical Nurse Specialist Long-Term Care
(Licence: IN  28193220A)
Enumeration Date2021-06-10
Last Update Date2021-06-10
Business Address
AMANDA BROCK RN
6925 LAKE CREST CT
FORT WAYNE, IN 46815-7975
Phone number: 260-416-7328
Mailing Address
AMANDA BROCK RN
6925 LAKE CREST CT
FORT WAYNE, IN 46815-7975
Phone number:
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